Active NPI
Jennifer Squire PC
- Community/Behavioral Health Agency
- Salt Lake City, UT
National Provider Identifier
1649585035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C6715627
- Legal business name
- JENNIFER SQUIRE PC
- Practice address
- 7084 S 2300 E
Suite 140
Salt Lake City, UT 84121-3968 - Phone
- (801) 808-2410
- NPI assigned
- Aug 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Squire, LCSW
- Title
- President
- Phone
- (801) 808-2410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | C6715627 | UT | Primary |
Addresses
Primary practice location
7084 S 2300 E
Suite 140
Salt Lake City, UT 84121-3968
Mailing address
7084 S 2300 E
Suite 140
Salt Lake City, UT 84121-3968
Phone (801) 808-2410
Other names 1
- Center for Christian therapy
National Provider Directory
National Provider Directory- Tax ID family
- Center for Christian Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1154699296
Locations
7084 S 2300 E
Ste 140
Salt Lake City, UT 84121
Phone (512) 788-1132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281398400000",
"number": "1649585035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7084 S 2300 E",
"address_2": "SUITE 140",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213968",
"telephone_number": "801-808-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7084 S 2300 E",
"address_2": "SUITE 140",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213968",
"telephone_number": "801-808-2410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER SQUIRE PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A",
"authorized_official_last_name": "SQUIRE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-808-2410",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "UT",
"license": "C6715627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Christian therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.